Source One Pharmacy Services Llc

LBN: Source One Pharmacy Services Llc
Source One Pharmacy Services Llc is an health care organization with primary practice located at 1140 Mcdermott Dr Ste 104 Suite 104, West Chester PA 19380-4043. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Source One Pharmacy Services Llc can be contacted via phone (610) 696-3100, or through Pippis, Constantine Nicholas via phone (610) 696-3100.

Contact Information

Primary practice address
1140 Mcdermott Dr Ste 104 Suite 104 West Chester PA 19380-4043
Phone: (610) 696-3100
Fax: (610) 696-7100
Website:
Map and Directions
Authorized official contact:
Name: Pippis, Constantine Nicholas RPH
Phone: (610) 696-3100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1376727495
LBN Legal business name Source One Pharmacy Services Llc
DBA Doing business as
Authorized official Pippis, Constantine Nicholas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Oct 2nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376727495 NPPES
New York MEDICAID 04172987
New York MEDICAID 1376727495
New York Other 2082394
New York MEDICAID 0187470
New York MEDICAID 1021341960002
New York MEDICAID 535302500

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